CN112089981A - Implantable Cardiac Defibrillator and External Defibrillator Combination System - Google Patents

Abstract

The invention discloses a combined system of implantable cardiac defibrillator and external defibrillation equipment, implantable cardiac defibrillator and external defibrillation equipment; the implanted cardiac defibrillator comprises a processor, a sensing module and a treatment module and a communication module; the external defibrillation device includes a processor, a sensing module, a treatment module and a communication module; the processor of the implantable cardiac defibrillator is configured to diagnose the ECG signal sensed by the sensing module Whether electrical stimulation therapy is required, before the processor uses the therapy module to perform electrical stimulation therapy on the heart, the processor uses the communication module to send a broadcast message to the outside, where the broadcast message contains information about the therapy to be performed by the processor. The above solution can broadcast the information of the implantable cardiac defibrillator to the external defibrillation equipment to reduce wrong treatment.

Description

Implantable Cardiac Defibrillator and External Defibrillator Combination System

technical field

The invention belongs to the field of medical equipment, and particularly relates to the improvement of implantable cardiac defibrillators and external defibrillators.

Background technique

Implantable cardiac defibrillators are implanted in patients to prevent possible sudden cardiac death when the patient develops ventricular fibrillation. The patient will syncope, at which point the ICD enters the diagnostic state and the appropriate treatment is performed according to the diagnosis.

In some cases, an automatic external defibrillation device (AED) may be installed in the place where the patient has syncope, which will analyze the patient's ECG signal and perform treatment based on the analysis result. At the same time, the ICD in the patient may also be analyzed and treated, so that the patient may be defibrillated by the external defibrillation device and the ICD at the same time. At the same time, the emergency personnel who perform external defibrillation on the patient during syncope do not know the state of the ICD in the patient's body.

SUMMARY OF THE INVENTION

In order to solve the above technical problems, the present invention provides a combined system of an implantable cardiac defibrillator and an external defibrillator.

The implantable cardiac defibrillator and external defibrillation equipment combined system includes the implantable cardiac defibrillator and the external defibrillation equipment; the implantable cardiac defibrillator includes a processor, a sensing module, a treatment module and A communication module; the external defibrillation device includes a processor, a sensing module, a treatment module and a communication module; the processor of the implantable cardiac defibrillator is configured to diagnose whether the ECG signal is sensed by the sensing module If electrical stimulation therapy is needed, before the processor uses the therapy module to perform electrical stimulation therapy on the heart, the processor uses its communication module to send a broadcast message to the outside world, and the broadcast message contains information about the therapy to be implemented by the processor;

After receiving the broadcast message sent by the implantable body defibrillation device through its communication module, the processor of the external defibrillation device performs corresponding operations according to the content of the broadcast message.

In the above solution, the implantable cardiac defibrillator can broadcast the signal being treated to the outside during the electrical stimulation treatment, and the external defibrillation device can make a corresponding response according to the content of the broadcast message to prevent defibrillation in the body. When the device is used for treatment, repeated treatment results in wrong treatment.

In a preferred solution, the broadcast message includes the type of the electrical stimulation therapy to be performed, and when the electrical stimulation type is defibrillation, the external defibrillation device delays initiating diagnosis and therapy operations.

In a preferred solution, the processor of the implantable cardiac defibrillator sends a broadcast message containing the treatment completion information through the communication module after the treatment is completed.

In a preferred solution, the broadcast message of the completion of the treatment includes whether the patient has recovered sinus rhythm; if the patient has not recovered sinus rhythm, the external defibrillation device will defibrillate immediately.

In a preferred solution, the broadcast message of the completion of the treatment includes whether the patient has recovered sinus rhythm; if the patient has not recovered sinus rhythm, the external defibrillation device will immediately diagnose, and the diagnosis will be performed when defibrillation is required. External defibrillation.

In a preferred solution, the external defibrillation device includes a user interface, and the external defibrillation device processor prompts the working state of the implantable cardiac defibrillator through the user interface according to the received broadcast message.

In a preferred solution, the user interface includes electronic components that can provide sound, light, picture or vibration feedback.

In the above scheme, the emergency personnel who apply first aid to the patient can quickly know the state of the patient and the state of the implantable cardiac defibrillator through the user interface of the external defibrillation device, thereby effectively helping the emergency personnel to do make further rescue decisions.

In a preferred solution, for different working states of the implantable cardiac defibrillator, the processor provides sound, picture, and light synchronization prompt information corresponding to the working state.

Description of drawings

FIG. 1 is a schematic diagram of the state of the implantable cardiac defibrillator when it is implanted in the human body.

FIG. 2 is a schematic structural diagram of a hardware module of an implantable cardiac defibrillator.

Figure 3 is a schematic diagram of an external defibrillation device.

FIG. 4 is a schematic structural diagram of a hardware module of an external defibrillation device.

FIG. 5 is a schematic diagram of a communication flow between an implantable cardiac defibrillator and an external defibrillation device.

Detailed ways

The invention provides a combined system of implantable cardiac defibrillator and external defibrillation equipment. It includes implantable cardiac defibrillators and external defibrillators. The implantable cardiac defibrillator sends a broadcast to the external defibrillation device at an appropriate time, and the external defibrillation device responds accordingly after receiving the broadcast sent by the implantable cardiac defibrillator, for example, by The user interface issues prompts, delays perception therapy, etc.

Referring to Figure 1, a transvenously implantable cardiac defibrillator 500 is shown. The transvenous implantable cardiac defibrillator 500 includes a pulse generator 502 arranged subcutaneously, and a lead 504 connected to the pulse generator 502 . The intravenous implantable cardiac defibrillator 502 can be divided into single-chamber, double-chamber and triple-chamber according to the implantation site of the lead 504, and the corresponding number of leads is also divided into one to three. The dual-chamber defibrillator is shown in Figure 5, and the leads can enter the right ventricle V and right atrium A through the cephalic vein, subclavian vein, and superior vena cava S. It is a dual-chamber structure. Also included in the art are single-chamber ICDs in which a lead is used to connect to the ventricle on which a high-voltage coil is placed to form a circuit with the pulse generator 502 during defibrillation.

The lead 504 is divided into a right atrium lead 508 and a right ventricle lead 506. The end of the right ventricle lead 506 is connected to the heart tissue o for sensing atrial signals. The electrode 510 at the end of the right atrial lead 508 can sense the P wave, an electrical signal generated during atrial depolarization.

The right ventricular lead 506 is divided into a proximal end connected to the pulse generator 502 and a distal end connected to the cardiac tissue o. The end of the wire includes a helical electrode 512 connected to the heart tissue o, and the helical electrode 512 enters the heart tissue o to fix the front end of the wire with the heart tissue. A near-field electrode 514 is disposed adjacent to the front end of the lead 506, and the near-field electrode 514 is used to sense a near-field ECG signal, which reflects the depolarization and repolarization process of the local tissue of the heart.

The proximal end 516 of the right ventricular lead 506 is connected to the connector 518 of the pulse generator 502 . The connector 518 provides electrical connection jacks into which the wires are inserted, and internally includes a feedthrough assembly 604 that connects the wires to the circuitry of the pulse generator 502 . The feedthrough assembly 604 is connected to the sensing electrodes through wires, and the sensing electrodes (electrode 512 or electrode 514 or atrial electrode) are connected to the sensing module 602 in the pulse generator 502 through the feedthrough assembly 604 . The sensing module 602 is used for sensing the ECG signal, and further processing the ECG signal so that the ECG signal is converted from an analog signal to a digital signal. The feed-through assembly 604 connects the sensing electrodes on the wires to the sensing module 602 .

The connector 518 also includes an antenna 606 that is connected to the antenna in the pulse generator through the feed-through assembly 604 . The antenna 606 is used for establishing a wireless communication connection between the pulse generator 502 and an external device. The external device D includes a program controller D used by a hospital, a handheld device used by a patient, such as a mobile phone, a patient assistant, or a medical device gateway.

Referring to the schematic diagram of the hardware structure in the pulse generator 502 shown in FIG. 2 . It includes a sensing module 602 for sensing electrocardiographic signals, a treatment module 608 for providing treatment pulse signals, and a communication module 610 for communicating with external equipment defibrillation equipment. A storage module 612 for storing patient data, parameters, and diagnostic procedure codes. The storage module 612 may include RAM, ROM, flash memory, and/or other storage circuits. And the control module 614 performs the diagnosis and treatment procedure, processes and analyzes the ECG signal sensed by the sensing module according to the patient parameters and the setting of the diagnosis procedure, and judges whether the heart needs to be electrically stimulated by the treatment module 608 according to the diagnosis result.

The sensing module 602 is connected to the electrodes 514 and 512 on the wire 504, and the sensing module includes an amplifier, a filter, a digital-to-analog conversion module, and the like. The sensing module 602 can simultaneously process the signals on the right atrial lead 508 and the right ventricular lead 506, and convert the sensed p-wave or R-wave signal into a digital signal, and the processor 614 uses the P-wave or R-wave signal to calculate Physiological parameters such as PR interval, AA interval, and RR interval.

The communication module 610 is connected to the antenna 606, and the communication module 610 is connected to the external defibrillation equipment for communication. The communication module is preferably a medical RF module. Those skilled in the art know that the communication module further includes communication modules known to those skilled in the art, such as WIFI, Bluetooth, infrared, ultrasonic, etc.

The treatment module 608 includes a switch circuit, and the treatment module 608 includes a switch circuit. When performing electrical stimulation, the control module controls the switch circuit treatment module to form an electrical stimulation circuit, and the control module can control the treatment module to perform anti-tachycardia treatment. .

When the implantable cardiac defibrillator 500 is a defibrillator or a cardioverter-defibrillator, the treatment module 608 further includes a high-voltage capacitor and a high-voltage circuit for charging the high-voltage capacitor. The high-voltage circuit is used before defibrillation therapy. To charge the high-voltage capacitor, the high-voltage circuit is configured to charge the high-voltage capacitor with different energies according to different treatment requirements, and the energy of the high-voltage capacitor is maintained in the range of 20J-40J.

The external defibrillation device in the combined system of implantable cardiac defibrillator 500 and external defibrillation device is an automatic external defibrillator (AED) as shown in FIG. 1 . Obviously, the external defibrillation device may also be a wearable device. External defibrillator.

As shown in FIG. 1 , the external defibrillation device 300 includes defibrillation/sensing electrodes 312 and 314 for sticking on the human body, and the electrodes are connected to the pulse generator 316 of the AED through a wire 318 , and the pulse generator 316 includes a switch button 320 and a shock button 322. After the electrodes 312 and 314 are connected to the human body, the switch button 320 is turned on and starts to automatically analyze the state of the patient, and gives a suggestion for electric shock according to the patient's state, and gives an operation prompt. Generally speaking, the operation prompt will prompt emergency personnel or other personnel not to have physical contact with the patient, and then ensure that the shock button is triggered without physical contact.

The external defibrillation device 300 described with reference to FIG. 3 includes a power supply 304, a communication module 306, a therapy module 308, and a processor 302 module. The processor 302 communicates with the implantable cardiac defibrillator 500 through the communication module 306. The communication module 306 preferably establishes a communication link through wireless communication methods such as WIFI, Bluetooth, RF, and ultrasound. The channel is used to receive the broadcast signal of the implantable cardiac defibrillator.

The therapy module 308 includes a high voltage circuit including a transformer and a high voltage capacitor. The transformer and the corresponding driving circuit are used for boosting the voltage of the power supply 304 to a defibrillation voltage, the voltage of the high-voltage capacitor after the boosting of the transformer is 700-800V, and the energy of the high-voltage capacitor is 120J-360J. The high-voltage capacitor is charged and discharged to defibrillate the human body, and the discharge process of the external defibrillation device 300 includes bidirectional or unidirectional discharge. The treatment module 308 is connected to the electrode patches 312, 314, and the discharge process is completed in a loop composed of the electrode patches 312, 314 high-voltage capacitors and the human body.

The external defibrillation device 300 further includes a sensing module 310 and a storage module 316, and the sensing module 310 is used to convert the electrocardiographic signal of the body surface into a digital signal. The external defibrillation device 300 further includes sensing electrodes 312 and 314 for sensing electrocardiographic signals on the body surface, and the sensing electrodes are connected to the sensing module 304 . The processor 302 diagnoses the state of the patient by analyzing the ECG signal sensed by the sensing module 310 and analyzing the ECG signal.

The external defibrillation device 300 further includes a human-machine interface module. The man-machine interface module is used to provide an operation interface for emergency personnel, such as the button 320 described above. And electronic components such as a display 328, a speaker, an indicator or a vibration module for providing feedback to the emergency personnel for providing sound, light, picture or vibration feedback to the emergency personnel.

Referring to the schematic flowchart of the communication between the implantable cardiac defibrillator and the external defibrillation device 300 shown in FIG. 4 . In steps 804 and 802, the implantable cardiac defibrillator 500 is initialized. The initialization of the implantable cardiac defibrillator includes setting initialization parameters through the process controller D, and the initialization of the external defibrillation device 300 includes turning on the device, sensing the continuity of the electrodes 312 and 314, and monitoring basic parameters such as chest impedance.

In step 808, the sensing module 602 senses the ECG signal through the sensing electrode 512 and the electrode 514, and the ECG signal is an intracardiac electric signal, or the sensing electrodes 512, 514 sense the ECG signal and convert it into a digital signal signal for processing by processor 614.

In step 810, the processor 614 diagnoses the presence or absence of a malignant cardiac rhythm event through a diagnostic algorithm. The processor 614 judges whether the patient has a malignant heart rate event such as ventricular fibrillation and ventricular tachycardia according to methods such as the suddenness of the patient's heart rhythm, interval variability, average heart rhythm and QRS waveform shape, etc. Malignant heart rhythm events such as tachycardia are distinguished from supraventricular tachycardia such as atrial fibrillation, atrial flutter, and sinus rhythm to prevent false shocks. Taking the judgment of ventricular fibrillation as an example, the occurrence of ventricular fibrillation can be detected by setting an observation window, for example, setting a threshold value of 18/24 window as the judgment standard of ventricular fibrillation. Of course, when judging whether ventricular fibrillation occurs, heart sounds, blood pressure, blood flow, and motion sensors can be combined to comprehensively determine whether ventricular fibrillation has occurred. syncope and assess the patient's physical activity level).

If it is determined in step 810 that no malignant arrhythmia has occurred, go back to step 808 , otherwise, go to step 812 . In step 812, when a malignant heart rhythm is found, the processor 614 controls the implanted cardiac defibrillator into a state ready for electrical stimulation therapy. In this state the processor 614 controls the therapy module to charge the capacitor. The processor broadcasts a message through the communication module 610 before or during charging. The broadcast message contains information about the treatment to be administered. According to the analysis results of step 810, the electrical stimulation therapy to be implemented includes pacing, anti-tachycardia pacing, low-energy defibrillation, and high-energy defibrillation.

In step 814, the processor 614 controls the therapy module 608 to release the electrical stimulation therapy, and may send a broadcast message after the electrical stimulation therapy or before the electrical stimulation therapy, the broadcast message including the type of electrical stimulation currently being performed.

After the electrical stimulation treatment is completed, the control flow returns to step 810, and in step 810, it is determined whether the treatment is successful in restoring sinus rhythm according to the monitoring result of the stimulated ECG signal. After the electrical stimulation is completed in step 810, the processor 614 analyzes whether the ECG signal is to be analyzed for sinus rhythm. If the sinus rhythm is restored, a message is sent to the outside through the communication module 610, and the message includes the information on the restoration of the sinus rhythm and the completion of the treatment.

In the steps numbered 816, 818, 820, 822, and 824, the processor 302 of the external defibrillation device 300 performs different processing and performs different operations according to the content type of the message. After the initialization in step 802 is completed, the processor 302 of the external defibrillation device 300 sets a timer, and the timer sets the time for the processor to wait for the broadcast message, and the time of the timer should be set short to prevent excessive waiting time Delayed treatment timing, such as setting a timeout after 500ms to 1 second. It is determined in step 826 that if the set timeout period has elapsed and no broadcast message is received in step 806 , the control flow proceeds to step 828 . After entering step 828, the external defibrillation device starts to monitor the ECG signal in step 828. In step 830, the external defibrillation device 300 analyzes the ECG signal and determines whether a malignant heart rhythm occurs according to the analysis result of the ECG signal. After it is determined in step 832 that a malignant heart rhythm occurs, the external defibrillation device 300 performs defibrillation treatment in step 834, and returns to step 828 after the treatment is completed to monitor whether the defibrillation treatment is successful. If it is determined in step 832 that no malignant heart rhythm has occurred, then directly enter step 824 to end the control flow of the entire external defibrillation device 300 .

In step 806 , if the processor 302 of the external defibrillation device 300 receives the broadcast message sent by the implantable cardiac defibrillator 500 through the communication module 306 . The broadcast message can optionally include the status of the device, the upcoming treatment, the ongoing treatment, whether the treatment is completed, and whether the treatment result restores sinus rhythm, the patient's activity data, etc. The implantable cardiac defibrillator can monitor, Various information processed and stored.

In step 816, the processor 302 first judges the electrical stimulation therapy message in the broadcast message, and judges whether the electrical stimulation therapy message indicates whether the implantable cardiac defibrillator 500 is preparing for treatment. 500 is in the preparation stage of the electrical stimulation therapy, the external defibrillation device 300 delays the therapy, and the control flow returns to step 806 to continue to receive the broadcast message of the implantable cardiac defibrillator 500 .

If the broadcast message does not indicate that the implantable cardiac defibrillator is preparing a defibrillation device, the external defibrillator device 300 processor determines in step 818 whether it is undergoing electrical stimulation therapy, the type of electrical stimulation therapy May include defibrillation, antitachycardia pacing, pacing, and defibrillation at multiple energy levels. If the implantable cardiac defibrillator 500 is defibrillating, the external defibrillation device 300 delays detection and treatment of the patient, and the control flow returns to step 806 .

If it is determined in step 818 that the implantable cardiac defibrillator 500 is not in the treatment process, then go to step 820 to determine whether the treatment is completed. If the treatment of the implantable cardiac defibrillator 500 is completed, in step 810 of the implantable cardiac defibrillator, the implantable cardiac defibrillator processor 500 sends the external defibrillation device 300 through the communication module 610 after the treatment is completed. Send a broadcast message containing the treatment complete message. The broadcast message of completion of the treatment may include a message of whether the treatment of the patient is completed, and the treatment result of the implantable cardiac defibrillator.

In step 822, the processor 302 of the external defibrillation device 300 determines whether the patient has recovered sinus rhythm according to the treatment result of the implantable cardiac defibrillator 500. If the patient has recovered sinus rhythm, the external defibrillation device 300 directly enters the End step 824.

The broadcast message may also include the ongoing ECG signal of the patient, and the heartbeat signal may be a real-time heartbeat signal or historical data, and may be a continuous piece of data or a certain data segment. In step 822, the processor of the extracorporeal device may determine whether the patient has recovered sinus rhythm according to the ECG signal.

In step 822, if it is diagnosed that the patient has not recovered sinus rhythm according to the treatment result of the implantable cardiac defibrillator 500 or the ECG signal sent by the implantable cardiac defibrillator 500, the external defibrillation device 300 immediately performs a diagnosis, and controls Flow proceeds to step 828, and according to the result of step 832, external defibrillation is performed when defibrillation is required.

Those skilled in the art know that if the sinus rhythm control process is not restored in step 822, the process can be jumped to 834 to directly perform defibrillation treatment. Compared with the implantable cardiac defibrillator, the external defibrillation device 300 has a higher Defibrillation energy. When the defibrillation energy of the implantable cardiac defibrillator has reached the highest energy and still cannot restore sinus rhythm, the attempt to perform external defibrillation immediately can improve the probability of successful defibrillation.

In the above solution, the processor of the external defibrillation device 300 performs corresponding operations according to the content of the broadcast message after receiving the broadcast message sent by the implantable body defibrillator device through the communication module. Operates according to the state and output of the implantable cardiac defibrillator. In general, if the implantable cardiac defibrillator is preparing for electrical stimulation therapy or is undergoing electrical stimulation therapy, the external defibrillator device 300 delays diagnosis and therapy until the implantable cardiac defibrillator completes the therapy. And if the implantable cardiac defibrillator treatment device fails, the external defibrillation device 300 can also enter the state of diagnosis and treatment in a timely manner, and the external defibrillation device 300 can provide better performance than the implantable cardiac defibrillator. High defibrillation energy is provided to increase the success rate of treatment.

Referring to the module structure diagram shown in FIG. 5 , it includes a control module 400 and a human-machine interface module. The control module 800 is a module that includes parts of the logic flow steps shown in FIG. 4, which are defined as a collection of steps. The human-machine interface module described in the present application is used in the logic flow module to play a function of providing information for emergency personnel or accepting input from emergency personnel. At the same time, the processor 302 of the external defibrillation device 300 prompts the working state of the implantable cardiac defibrillator through the user interface according to the received broadcast message.

The processor 302 provides, for different working states of the implantable cardiac defibrillator, prompt information synchronously with sound, picture, and light corresponding to the working state. the voice prompt message

Referring to FIG. 5 in the process of initialization 802, the man-machine interface module 900 sends out basic information prompts 840, the basic information prompts include but are not limited to voice boot prompts, voice operation prompts, precautions alarm prompts, and display screen 328. The external defibrillation device 300 can also perform screen prompts in synchronization with the voice operation prompts, for example, displaying an animation on the display including how to unpack the electrodes and how to attach the electrodes 312 and 314 to the patient's chest surface.

In step 806, after receiving the broadcast message, the external defibrillation device 300 may prompt the patient's basic information 842 through the human-machine interface module, and the patient's basic information may include whether the ICD is implanted, the state of the ICD, and the state of the patient. . For example, if the broadcast message indicates that the patient's implanted cardiac defibrillator is being diagnosed, the external defibrillation device 300 may notify the emergency personnel that the implanted cardiac defibrillator is being diagnosed by means of sound and picture synchronization.

In step 816, the external defibrillation device 300 notifies through the human-machine interface module 900 of step 844 that the device is in a charging state. The prompt information may include charging progress, charging energy, remaining charging time, and the mode of treatment.

In step 818, after receiving the broadcast message, the external defibrillation device 300 determines that the implantable cardiac defibrillator is undergoing electrical stimulation therapy. The human-machine structure module prompts the device to be in the state of electrical stimulation treatment through the module 846, the external defibrillation device 300 informs the emergency personnel that the implanted cardiac defibrillator is undergoing treatment by means of sound and picture synchronization, and can issue certain warning prompts such as Do not move the patient at this time.

In step 820, the external defibrillation device 300 issues a prompt 848 to complete. For example, the human-machine interface can issue voice prompts such as "the treatment is completed and the diagnosis after defibrillation is about to be carried out" through the speaker. At the same time, it can prompt emergency personnel to continue to wait and other information.

In step 822, the man-machine interface sends out report patient status information 859. If the patient has recovered sinus rhythm, the information can be used to inform the emergency personnel that the patient's heart rhythm has returned to normal, and it can be prompted that after the patient wakes up or his consciousness returns to normal The external defibrillation device 300 is removed. If the patient does not restore sinus rhythm, the external defibrillation device 300 is prompted to perform diagnosis and treatment, the patient's electrocardiogram is analyzed, and emergency personnel are prompted to operate according to the prompt of the external defibrillation device 300 .

In step 824, the human-machine interface may issue an end prompt 852, which may include how to store the external defibrillation device 300, how to check the parameters and status of the external defibrillation device 300, how to troubleshoot, and how to contact the external defibrillator through emergency contact information. equipment manufacturers.

In the above solution, the external defibrillation device 300 can prompt the state of the implantable cardiac defibrillator through the human-machine interface, so that the emergency personnel can clearly know the status of the implantable cardiac defibrillator at the time of diagnosis, treatment, etc. status. The emergency personnel can also know that the external defibrillation device 300 will delay the treatment when the implantable medical treatment or defibrillation is performed, and at the same time, if the implantable cardiac defibrillator can also intervene in time when the defibrillation of the implantable cardiac defibrillator fails Improve the success rate of treatment.

Claims (8)

1. implanted cardiac defibrillator and external defibrillation equipment combined system, is characterized in that, comprises implanted cardiac defibrillator and external defibrillation equipment; Described implanted cardiac defibrillator comprises processor, perception module , a treatment module and a communication module; the external defibrillation device includes a processor, a sensing module, a treatment module and a communication module; the processor of the implantable cardiac defibrillator is configured to sense the ECG according to the sensing module Signal to diagnose whether electrical stimulation therapy is needed, and before the processor of the implantable cardiac defibrillator uses its therapy module to perform electrical stimulation therapy on the heart, it uses its communication module to send a broadcast message, and the broadcast message contains the information that the processor is about to implement. treatment information; The processor of the external defibrillation device performs corresponding operations according to the content of the broadcast message after receiving the broadcast message sent by the implantable body cardiac defibrillator through its communication module. 2. The implantable cardiac defibrillator and external defibrillator combined system according to claim 1, wherein the broadcast message includes the type of the upcoming electrical stimulation therapy, and the electrical stimulation type is a During fibrillation, the external defibrillation device delays initiating diagnostic and therapeutic operations. 3. implanted cardiac defibrillator and external defibrillation equipment combined system according to claim 2, is characterized in that, after the processor treatment of described implanted cardiac defibrillator is completed, send through the communication module that includes treatment is completed Information broadcast message. 4. The implanted cardiac defibrillator and external defibrillator combined system according to claim 3, wherein the broadcast message of the treatment completion information includes whether the patient restores sinus rhythm; if the patient does not Restoration of sinus rhythm results in immediate defibrillation by the external defibrillator. 5. The implanted cardiac defibrillator and external defibrillator combined system according to claim 3, wherein the broadcast message of the treatment completion information includes whether the patient restores sinus rhythm; if the patient does not When sinus rhythm is restored, the external defibrillation device makes a diagnosis immediately, and external defibrillation is performed when the diagnosis requires defibrillation. 6. The combined system of implantable cardiac defibrillator and external defibrillation device according to claim 1, characterized in that, the external defibrillation device comprises a user interface, and the processor of the external defibrillation device according to the received The broadcast message prompts the working status of the implantable cardiac defibrillator through the user interface. 7 . The combined system of implantable cardiac defibrillator and external defibrillation equipment according to claim 6 , wherein the user interface comprises an electronic component that can provide sound, light, picture or vibration feedback. 8 . 8. The combined system of implantable cardiac defibrillator and external defibrillation device according to claim 6, wherein the processor of the external defibrillation device has different working states for the implantable cardiac defibrillator, Provide sound, picture and light synchronization prompt information corresponding to the working state.

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